Intramedullary distraction for lower limb lengthening
National Institute for Health and Clinical Excellence
Record ID 32006001603
English
Authors' objectives:
This study aims to assess the current evidence on intramedullary skeletal distraction for lower limb lengthening.
Authors' recommendations:
1 Guidance
1.1 Current evidence on the safety and efficacy of intramedullary distraction for lower limb lengthening does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research. Although there is evidence of efficacy in lengthening the femur, evidence on its safety is inadequate. There is inadequate evidence on both efficacy and safety in lengthening the tibia.
1.2 Clinicians wishing to undertake intramedullary distraction for lower limb lengthening should take the following actions.
: Inform the clinical governance leads in their Trusts.
: Ensure that patients understand the uncertainty about the procedure-s safety and efficacy in its use for lengthening the tibia and its safety in use for lengthening the femur, and provide them with clear written information. In addition, use of the Institute's information for patients ('Understanding NICE guidance') is recommended (available from www.nice.org.uk/IPG197publicinfo).
: Audit and review clinical outcomes of all patients having intramedullary distraction techniques for lower limb lengthening.
1.3 A number of devices are available for the procedure which may have different safety and efficacy profiles. The technology is continuing to evolve and clinicians should consider the choice of device on the basis of the most current available evidence.
1.4 Publication of safety and efficacy outcomes will be useful. The Institute may review the procedure upon publication of further evidence.
Authors' methods:
Overview
Details
Project Status:
Completed
URL for project:
http://www.nice.org.uk/guidance/IPG197
Year Published:
2006
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England
MeSH Terms
- Bone Lengthening
- Osteogenesis, Distraction
Contact
Organisation Name:
National Institute for Health and Care Excellence
Contact Address:
Level 1A, City Tower, Piccadilly Plaza, Manchester, M1 4BT
Contact Name:
nice@nice.nhs.uk
Contact Email:
nice@nice.nhs.uk
Copyright:
National Institute for Health and Clinical Excellence (NICE)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.